Medicare Advantage Plans for North Carolina

1,682,569 Total Medicare Advantage Enrollees

OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? North Carolina Enrollees
Blue Cross and Blue Shield of North Carolina Blue Medicare PPO EGWP Complete (PPO)
H3404-810-0 		Local PPO No $0 No 983
Longevity Health Plan Longevity Health Plan (HMO I-SNP)
H5374-001-0 		HMO $160 per Quarter No $640 Yes $3,200 Yes No No Yes No 912
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 864
CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA HealthTeam Advantage Plan II (PPO)
H9808-005-0 		Local PPO $75 per Quarter Yes $300 Yes No No Yes No No 860
UnitedHealthcare UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP)
H5253-042-0 		HMOPOS $240 per Quarter Yes $960 Yes $2,000 Yes No Yes Yes No 840
Liberty Medicare Advantage Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)
H6351-001-0 		HMO No $0 Yes $2,800 No No No Yes No 768
Aetna Medicare Aetna Medicare Essential Plan (PPO)
H5521-354-0 		Local PPO $75 per Quarter No $300 No 748
Humana HumanaChoice H5525-026 (PPO)
H5525-026-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 740
FirstMedicare Direct FirstMedicare Direct POS Standard (HMO-POS)
H6306-012-5 		HMOPOS $96 per Month No $1,152 Yes No No Yes No No 646
Devoted Health Devoted CORE North Carolina (HMO)
H5299-001-0 		HMO $65 per Quarter No $260 Yes No No Yes No No 637
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 627
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 541
Cigna Healthcare Cigna Preferred Select Medicare (HMO)
H9725-014-0 		HMO $120 per Quarter No $480 Yes No No Yes No No 539
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H9725-012-0 		HMO No $0 Yes No No Yes No No 523
Aetna Medicare Aetna Medicare Assure Plan (HMO D-SNP)
H3146-009-0 		HMO $240 per Month Yes $0 Yes $5,000 No No Yes No No 468
FirstMedicare Direct FirstMedicare Direct SmartHMO (HMO)
H6306-005-0 		HMO $75 per Quarter No $300 No 456
Blue Cross and Blue Shield of North Carolina Blue Medicare HMO EGWP Classic (HMO)
H3449-815-0 		HMO No $0 No 437
FirstMedicare Direct FirstMedicare Direct PPO Plus (PPO)
H8064-002-0 		Local PPO No $0 Yes No No Yes No No 433
Blue Cross and Blue Shield of North Carolina Blue Medicare Freedom+ (PPO)
H3404-004-0 		Local PPO $0 per Month No $0 No 407
FirstMedicare Direct New Hanover Health Advantage Select (HMO-POS)
H6306-013-0 		HMOPOS $60 per Quarter No $240 Yes $1,500 No No No No No 381
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 355
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 324
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2577-030-0 		Local PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 273
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-872-0 		Local PPO No $0 No 272
Piedmont Health SeniorCare Piedmont Health SeniorCare - Dual (PACE)
H9266-001-0 		National PACE No $0 No 262
Senior Total Life Care Senior Total Life Care Dual (PACE)
H4235-001-0 		National PACE No $0 No 228
Devoted Health Devoted GIVEBACK North Carolina (HMO)
H5299-002-0 		HMO $0 per Month No $0 Yes No No Yes No No 223
Cigna Healthcare Cigna Courage Medicare (HMO)
H9725-005-0 		HMO No $0 Yes No No Yes No No 216
PACE OF THE TRIAD PACE of The Triad - Dual (PACE)
H6059-001-0 		National PACE No $0 No 207
Blue Cross and Blue Shield of North Carolina Blue Medicare PPO EGWP Classic (PPO)
H3404-811-0 		Local PPO No $0 No 196
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 190
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2577-031-0 		Local PPO $60 per Quarter No $240 Yes Yes No Yes Yes No 188
CarePartners PACE CarePartners PACE (PACE)
H6846-001-0 		National PACE No $0 No 186
Wellcare Wellcare Patriot No Premium Open (PPO)
H7175-005-0 		Local PPO No $0 No 178
Wellcare Wellcare Dual Access Medicare (HMO D-SNP)
H0712-025-0 		HMO $100 per Month Yes $0 Yes $4,000 No No Yes Yes No 176
Wellcare Wellcare No Premium Value (HMO)
H0712-023-0 		HMO $83 per Quarter No $332 Yes $1,000 No No Yes Yes No 176
PruittHealth Premier PruittHealth Premier (HMO I-SNP)
H6345-001-0 		HMO $55 per Month No $0 Yes $2,500 No No No No No 169
LIFE St. Joseph of the Pines LIFE St. Joseph of the Pines (PACE)
H1500-001-0 		National PACE No $0 No 165
PACE of the Southern Piedmont PACE of the Southern Piedmont- Duals (PACE)
H4714-001-0 		National PACE No $0 No 160
Senior CommUnity Care of North Carolina Senior CommUnity Care of North Carolina (PACE)
H0839-001-0 		National PACE No $0 No 146
Aetna Medicare Aetna Medicare Assure Plan (HMO D-SNP)
H3146-015-0 		HMO $170 per Month Yes $0 Yes $5,000 No No Yes No No 138
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-825-0 		Local PPO No $0 No 129
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-046-0 		Local PPO No $0 Yes $2,000 No No No No No 125
Carolina SeniorCare Carolina SeniorCare (PACE)
H1357-001-0 		National PACE No $0 No 122
PACE@Home PACE at Home - dual (PACE)
H4326-001-0 		National PACE No $0 No 105
Elderhaus PACE Elderhaus PACE (PACE)
H3942-001-0 		National PACE No $0 No 98
UnitedHealthcare Erickson Advantage Signature with Drugs (HMO-POS)
H5652-001-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 90
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 75
StayWell Senior Care StayWell Senior Care - Dual Eligible (PACE)
H1533-001-0 		National PACE No $0 No 63
Aetna Medicare Aetna Medicare Plan (HMO)
H3931-801-0 		HMO No $0 No 61

Top 20 Medicare Advantage Insurance Companyes for North Carolina

Company Total Enrollees Enrollees With OTC Supplement Enrollees With Prescription Hearing Aid Coverage
Humana 398,859 179,350 262,914
UnitedHealthcare 321,304 350,179 368,705
Aetna Medicare 141,659 147,005 146,064
Blue Cross and Blue Shield of North Carolina 101,494 109,033 108,250
Cigna Healthcare 18,772 14,994 18,540
Wellcare 17,647 11,092 14,200
CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA 15,320 16,280 16,280
FirstMedicare Direct 5,382 4,655 5,086
Experience Health 4,350 4,542 4,542
Blue Cross Blue Shield of Michigan 3,187 0 0
Troy Medicare 2,612 2,261 2,261
Highmark Blue Cross Blue Shield or Highmark Blue Shield 2,367 0 0
Alignment Health Plan 1,939 3,110 3,031
Anthem Blue Cross and Blue Shield 1,188 0 0
Longevity Health Plan 912 1,000 1,000
Devoted Health 906 1,397 1,397
Liberty Medicare Advantage 768 0 863
Piedmont Health SeniorCare 262 0 0
Senior Total Life Care 228 0 0
PACE OF THE TRIAD 207 0 0

Counties in North Carolina

County Medicare Advantage Enrolless
Alamance 30,143
Alexander 7,045
Alleghany 2,703
Anson 4,292
Ashe 6,517
Avery 3,626
Beaufort 10,264
Bertie 4,003
Bladen 6,135
Brunswick 45,786
Buncombe 51,480
Burke 18,072
Cabarrus 29,099
Caldwell 16,724
Camden 1,146
Carteret 13,783
Caswell 5,310
Catawba 30,000
Chatham 17,630
Cherokee 7,910
Chowan 2,992
Clay 3,140
Cleveland 19,428
Columbus 10,179
Craven 16,383
Cumberland 37,918
Currituck 3,782
Dare 7,320
Davidson 33,984
Davie 9,348
Duplin 8,143
Durham 41,406
Edgecombe 9,762
Forsyth 65,781
Franklin 11,345
Gaston 38,463
Gates 1,726
Graham 1,675
Granville 9,823
Greene 3,128
Guilford 85,911
Halifax 9,994
Harnett 15,952
Haywood 14,592
Henderson 28,139
Hertford 3,923
Hoke 5,191
Hyde 835
Iredell 30,370
Jackson 7,092
Johnston 29,135
Jones 1,789
Lee 9,626
Lenoir 10,308
Lincoln 16,966
Macon 9,209
Madison 4,652
Martin 4,942
McDowell 9,581
Mecklenburg 124,041
Mitchell 3,463
Montgomery 4,961
Moore 21,481
Nash 17,430
New Hanover 40,443
Northampton 4,143
Onslow 15,892
Orange 20,494
Pamlico 3,074
Pasquotank 5,853
Pender 10,882
Perquimans 2,795
Person 8,471
Pitt 24,175
Polk 5,074
Randolph 28,219
Richmond 7,863
Robeson 18,368
Rockingham 21,218
Rowan 26,948
Rutherford 13,447
Sampson 9,972
Scotland 6,173
Stanly 11,937
Stokes 10,551
Surry 15,144
Swain 2,659
Transylvania 8,428
Tyrrell 615
Union 29,929
Vance 8,143
Wake 131,052
Warren 4,035
Washington 2,529
Watauga 7,771
Wayne 17,496
Wilkes 15,568
Wilson 13,814
Yadkin 8,106
Yancey 4,311
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